SAMUEL WASHINGTON

KINGSTON, NY
NPI1134681133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
SAMUEL WASHINGTON
139 CORNELL ST
KINGSTON, NY 12401-3633
Phone number: 845-338-1234
Mailing Address
SAMUEL WASHINGTON
1 HOMESTEAD CT
WALDEN, NY 12586-3414
Phone number:
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